This might be her most extreme video of all time

Dr. Pimple Popper (a.k.a. Dr. Sandra Lee) is at it again with a new gag-inducing video—and even for die-hard popping fans, this installment is more than a little graphic, so brace yourself.

In her latest YouTube video, Lee, a board-certified dermatologist based in California, shows us all the gory details as she removes a bowling-ball sized lump from the back of man’s neck, naming it “the mother of all lipomas.”

A lipoma is a growth of fat cells in a thin, fibrous capsule, usually located right below the skin. Fortunately, lipomas are non-cancerous, and usually pop up in middle age, according to WebMD. They typically don’t cause pain, and Lee even jokes that this patient will miss his “built-in pillow” after the procedure is over! But lipomas are unsightly, and in the video we hear the man’s wife telling Lee, “Everybody has been saying, ‘Get it out, get it out.’”

In the beginning of the video, Lee anesthetizes the general area, telling the unnamed patient, a British father of five, that he’ll feel a “little tightness.” Unfortunately, as the surgery continues, the lipoma doesn’t “pop out” whole, as she had hoped. “He’s stuck to you,” Lee tells the man. She has to reach into the incision with her hand, admitting it looks a little “barbaric,” but saying that it’s the safest way to go.

On YouTube, she says that the surgery was “frustrating,” since she wasn’t able to leave the area completely flat. But she says the patient was pleased with the results and is doing well a month later. She also thanked the “wonderful couple” for letting her film the procedure. The video has been a huge hit for Lee's fans, racking up almost 2 million views on YouTube.

If you're interested in taking a look, check the full video out here. But be warned—it's pretty graphic!

Fun fact: Once Lee gets the mass out, the patient exclaims it looked like “curried shrimp.” So yeah, there’s an image that’ll be hard to get out of your mind—even if you aren’t brave enough to hit play.

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